Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $81.28	Professional		$52.48	$63.10	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $75.86 / $134.90	Professional		$32.36	$75.86	$134.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $100.00 / $794.33	Facility		$87.10	$100.00	$794.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $218.78	Professional		$87.10	$125.89	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $151.36	Professional		$61.66	$83.18	$151.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $154.88	Professional		$102.33	$131.83	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $169.82	Professional		$70.79	$112.20	$169.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $562.34 / $562.34	Professional		$512.86	$562.34	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $87.10 / $128.82	Facility		$61.66	$87.10	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $144.54	Professional		$61.66	$81.28	$144.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $194.98	Professional		$102.33	$131.83	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $125.89	Professional		$46.77	$64.57	$125.89